Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.99 / $1,821.86 / $1,894.73	Facility		$1,249.99	$1,821.86	$1,894.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,626.61 / $1,848.28 / $2,029.48	Professional		$1,626.61	$1,848.28	$2,029.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,383.04 / $3,828.18 / $4,023.42	Facility		$2,383.04	$3,828.18	$4,023.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,790.52 / $2,042.96 / $2,068.50	Professional		$1,790.52	$2,042.96	$2,068.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,871.14 / $5,330.57 / $6,131.86	Facility		$2,871.14	$5,330.57	$6,131.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,636.77 / $4,759.43 / $6,316.50	Professional		$3,636.77	$4,759.43	$6,316.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $4,486.14	Facility		$2,463.07	$2,463.07	$4,486.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $2,463.07 / $18,260.96	Professional		$1,798.04	$2,463.07	$18,260.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $3,352.09	Professional		$100.00	$100.00	$3,352.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,273.22 / $1,909.84 / $2,614.89	Professional		$1,273.22	$1,909.84	$2,614.89